CQC report explained · a residential care home
What the CQC found at Crossways Community
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured about infection prevention and control. This included protective equipment, testing, visitor safety, hygiene, isolation and social distancing.
- Effective?
- Good
- This question was not assessed in this targeted inspection.
- Caring?
- Good
- This question was not assessed in this targeted inspection, although the report describes support for contact with family and friends.
- Responsive?
- Good
- This question was not assessed in this targeted inspection.
- Well-led?
- Good
- This question was not assessed in this targeted inspection.
What inspectors found, June 2021
Crossways Community: targeted inspection found good COVID-19 infection control, but the service was not rated.
Inspectors visited the home on 29 March 2021. The visit was announced and focused on infection prevention and control during the coronavirus pandemic.
The home supported safe contact with family and friends. It had plans to isolate people with COVID-19, supplies of protective equipment, visitor screening, testing, cleaning arrangements and social distancing measures.
Inspectors were assured about the infection control arrangements. The service was inspected but not rated, so this report does not give an overall quality rating or ratings for the other questions.
Infection control
The home had protective equipment, testing, cleaning and infection control arrangements in place. Inspectors were assured these were being used safely.
“We were assured that the provider was using personal protective equipment effectively and safely.” from the report
Family contact
Staff helped people keep in touch with friends and family by telephone, internet and visits in the garden and conservatory.
“The service supported people to maintain safe contact with friends and family.” from the report
Activities and wellbeing
Staff supported activities including gardening, walking, treasure hunts and exercise. A gym area had also been created.
“Staff ensured people's welfare had been maintained by facilitating activities such as gardening, walking, treasure hunts and supported exercise.” from the report
Inspectors raised no specific concerns in this report.
- 01What infection control arrangements are in place now, and how have they changed since the inspection on 29 March 2021?
- 02How are visitors currently screened, tested and supported to avoid spreading infections?
- 03What is the latest overall CQC rating for the home, including the areas not assessed in this targeted inspection?
- 04How are people supported to keep in contact with family and friends now?
- 05How often are residents and staff tested for COVID-19, and what happens if someone tests positive?
This was a targeted inspection of infection prevention and control during the coronavirus pandemic; the report did not rate the other four questions or give an overall rating. This explanation was written from the published report of 30 June 2021 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, November 2018
Crossways Community was rated Good; inspectors found safe, kind and personalised care, but the responsive rating fell from Outstanding.
This was an unannounced inspection on 16 August 2018. Two inspectors spoke with six people, staff and the management team. They reviewed care plans, risk assessments, medicines records, staff files, rotas, training records and quality checks.
The home supported up to 17 people with mental health needs, and 15 people were living there during the inspection. Inspectors found enough trained staff, safe medicines arrangements and suitable risk assessments. People were treated with kindness, respect and dignity.
Care plans were personalised and people had activities, food choices and support to make decisions. The home had systems to check quality and deal with incidents and complaints. All five areas were rated Good.
The home remained Good overall, but Responsive changed from Outstanding at the previous inspection to Good. Inspectors said the home had continued its good practice but found no evidence of additional good practice.
Enough skilled staff
Inspectors found enough staff who knew people well and had the skills and knowledge to support them. The home did not use agency staff, helping provide continuity.
“There were enough staff on duty who knew people well and could meet their needs and support them to do things for themselves.” from the report
Kind and respectful care
People described staff as kind and caring. Inspectors saw calm, positive interactions and found that privacy, dignity and independence were respected.
“People continued to be treated with kindness, compassion and respect.” from the report
Personalised support
Care plans included people's needs, preferences, life histories and goals. People had choices about activities, food, routines and how they spent their time.
“Care plans were personalised to the individual and included guidance for staff on how they wanted to be supported.” from the report
Activities and community life
People were supported to take part in activities inside and outside the home. They could help plan holidays and continue with faith and community interests.
“People continued to be supported to take part in various activities both inside and outside the home.” from the report
Good management checks
The management team monitored staff practice and used audits to check service quality. Shortfalls found through these checks were addressed.
“The provider continued to have oversight of the service and there were appropriate audits in place to check the quality of service being provided.” from the report
Responsive rating fell
minorThe responsive rating changed from Outstanding at the previous inspection to Good. Inspectors said good practice continued, but they found no evidence of additional good practice.
“At the previous inspection the service achieved outstanding. At this inspection we found the service to be Good.” from the report
- 01How will you make sure support plans stay personalised as my relative's mental health needs change?
- 02What activities and community opportunities would be available for my relative, and how would they help choose them?
- 03How would you support my relative to make everyday decisions and remain as independent as possible?
- 04How do you check that medicines are given safely and that any errors are acted on?
- 05What improvements are planned after the responsive rating changed from Outstanding to Good?
This was an unannounced inspection of the whole service, covering Safe, Effective, Caring, Responsive and Well-led. This explanation was written from the published report of 13 November 2018 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Crossways Community
2 rated inspections over 2 years: the service has held its Good rating throughout.
- June 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- November 2018Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Good
- February 2015
Report published without a new overall rating.
- August 2013
Report published without a new overall rating.
- October 2012
Report published without a new overall rating.
- November 2011
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 30 December 2010.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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39 live-in carers within about an hour of Kent
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Most charge £980 to £1,260 a week. 33 can care for a couple. 12 years' experience on average.
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